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5 Written Questions

5 Matching Questions

  1. Echinacea (purpura, angustifolia)
  2. St John's Wort (Hypericum perforatum) Side Effects
  3. Licorice root extract
  4. Ginger (Zingiber officinale)
  5. Black Cohosh
  1. a menopause symptoms, rheumatoid arthritis, induce labor
  2. b Nausea and vomiting due to pregnancy, motion sickness, post-operative or chemotherapy
  3. c May reduce growth of canker sores
  4. d topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)
  5. e Treatment of early colds, or topically for psoriasis, eczema and burns

5 Multiple Choice Questions

  1. Gel is used topically in treatment of burns and wounds.

    There have been some work done using these as a mouth rinse. Be careful not to swallow, however, because it has a strong laxative effect
  2. Discontinue before anesthesia:
    Clove oil
    Passion Flower
    Valerian Root
  3. St. Johns Wort Combination increases risk of Serotonin Syndrome
    a.k.a. Serotonin toxicity, serotonin poisoning, serotonin storm:
    Sweating, tremor, confusion, agitation, coma, death
    Not idiosyncratic drug reaction

    Discontinue use 2 weeks prior to general anesthesia
  4. headache, excitability, cardiac disturbanes, fatigue, blurry vision, grogginess

    Due to CNS depression, do not use with general anesthetics, benzodiazepines, non-benzo sedatives, barbiturates, opioids
  5. Hypersensitivity especially in people with severe allergies or allergic to daisies, including ragweed. Do not use in patients taking immunosuppressants or with auto-immune dx, HIV, TB

5 True/False Questions

  1. Clove Oilmenopause symptoms, rheumatoid arthritis, induce labor


  2. St. John's Wort Drug InteractionsUses: depression
    One of the most frequently used herbal supplements


  3. Glucosamine sulfatevery few, mostly GI


  4. Dental Related Herbal RemidiesClove oil
    Licorice root extract
    Evening primrose oil
    Coenzyme Q10


  5. Clove Oil Side EffectsSmall ulcers when applied to gums; in large doses or if injected can cause liver failure, CNS and respiratory depression (lethal dose = 3.8 g/kg)


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